Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy M. Wade Jr., LICSW

Individual provider Clinical Social Worker · NPI 1689224750

Mr. Timothy M. Wade Jr., LICSW is a Clinical Social Worker in Johnston, Rhode Island. Qualified in 2018, 8 years ago. Practices with Gateway Healthcare Inc, a 64-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
8
Licensed in
RI
In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1443 Hartford Ave
Johnston, RI 02919-3224
Phone: (401) 273-8100
Fax: (401) 861-8696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW04148 (RI)

Record details

NPI number1689224750
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 19, 2019
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Gateway Healthcare Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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